HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## : Bundle: complete HL7 Europe Hospital Discharge Report (1) - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "HDR-Luigi-De-Luca-Example",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
        ]
      },
      "identifier" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "PRN"
            }
          ]
        },
        "system" : "https://hl7europe.org/example-identifier",
        "value" : "b6b4291d-4f78-4c5e-a8e6-c4355c1cc4f5"
      },
      "type" : "document",
      "timestamp" : "2025-04-29T14:00:00Z",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "b9dc409d-ec81-4556-9fac-4dc3f731c199",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_b9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition b9dc409d-ec81-4556-9fac-4dc3f731c199</b></p><a name=\"b9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><a name=\"hcb9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-composition-eu-hdr.html\">Composition (HDR)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34105-7}\">Hospital Discharge summary</span></p><p><b>encounter</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-7c9a2bf1-507f-4d43-b06e-d78e9670379d\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); serviceType = Diabetes mellitus screening (procedure); period = 2025-04-01 08:45:00+0000 --&gt; 2025-04-10 11:00:00+0000; reasonCode = Prediabetes (finding)</a></p><p><b>date</b>: 2025-04-29 13:30:00+0100</p><p><b>author</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-74403dd8-bb1b-45f9-bb69-e843dfaf45e9\">PractitionerRole</a></p><p><b>title</b>: Hospital Discharge Report</p><p><b>custodian</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "34105-7",
                  "display" : "Hospital Discharge summary"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "encounter" : {
              "reference" : "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d"
            },
            "date" : "2025-04-29T13:30:00+01:00",
            "author" : [
              {
                "reference" : "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9"
              }
            ],
            "title" : "Hospital Discharge Report",
            "custodian" : {
              "reference" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"
            },
            "section" : [
              {
                "title" : "Admission evaluation",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "67851-6"
                    },
                    {
                      "system" : "http://loinc.org",
                      "code" : "67852-4",
                      "display" : "Hospital Admission evaluation note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi De Luca, a 57-year-old male, was admitted on 1st April following a pre-diabetic episode characterized by episodes of fatigue, polyuria, and increased thirst. Recent routine blood tests showed elevated fasting blood glucose and HbA1c levels that required further investigation.<p/>When Mr De Luca arrived in the morning we recorded a fasting blood glucose level at 180 mg/dL. His HbA1c level was 7.8%. He seemed to be dehydrated, so that he immediately was sent to the ward for a full breakfast and fluid substitution.</div>"
                }
              },
              {
                "title" : "Family History",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10157-6",
                      "display" : "History of family member diseases note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi has a family history of diabetes (type 2, mother and maternal grandmother).</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"
                  },
                  {
                    "reference" : "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"
                  }
                ]
              },
              {
                "title" : "Vital signs note",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8716-3",
                      "display" : "Vital signs note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Vital signs</th><th>1st April</th><th>10th April</th></tr></thead><tbody><tr><td>Body weight</td><td>109 kg</td><td>108 kg</td></tr><tr><td>Body height</td><td>177 cm</td><td/></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"
                  },
                  {
                    "reference" : "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"
                  },
                  {
                    "reference" : "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"
                  },
                  {
                    "reference" : "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"
                  },
                  {
                    "reference" : "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"
                  }
                ]
              },
              {
                "title" : "Tobacco use",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11367-0",
                      "display" : "History of Tobacco use"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The patient smokes &quot;a few&quot; cigarettes per day.</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"
                  }
                ]
              },
              {
                "title" : "Hospital course note",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8648-8",
                      "display" : "Hospital course note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">During the hospital stay from 1 to 10 April, Mr. De Luca underwent a series of diagnostic tests, consultations and initial treatment.<p/>Throughout his hospital stay, Mr. De Luca was monitored closely. His blood sugar levels improved modestly with the introduction of Metformin, and no acute complications were observed.</div>"
                }
              },
              {
                "title" : "Significant Observation Results",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "30954-2",
                      "display" : "Relevant diagnostic tests/laboratory data note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood Glucose Monitoring Regular monitoring of fasting blood glucose levels and random blood glucose levels. Fasting glucose levels consistently ranged between 140-180 mg/dL.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Fasting glucose [Moles/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>2 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>3 April 2025</td><td>150 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>5 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table>HbA1c Test: An HbA1c level of 7.2%, confirming the diagnosis of Type 2 Diabetes Mellitus.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Hemoglobin A1c [Mass/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>7.2%</td><td>&lt; 5.7%</td></tr></tbody></table>Oral Glucose Tolerance Test (OGTT): This test further confirmed impaired glucose tolerance.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Glucose [Mass/volume] in Serum or Plasma --1 hour post dose glucose</th><th>Range</th></tr></thead><tbody><tr><td>2 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table></div>"
                }
              },
              {
                "title" : "Significant procedures",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10185-7",
                      "display" : "Hospital discharge procedure note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lifestyle Consultation: Mr. De Luca met with a dietitian to discuss necessary changes in his diet, focusing on a low glycemic index diet and the need to monitor carbohydrate intake. He was also advised to engage in regular physical activity.<p/>Diabetes Education: Mr. De Luca attended educational sessions on diabetes management, including the importance of regular blood sugar monitoring, recognizing hypoglycemia and hyperglycemia symptoms, and foot care.<p/>Starting Pharmacotherapy with Metformin.</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"
                  },
                  {
                    "reference" : "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"
                  },
                  {
                    "reference" : "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"
                  }
                ]
              },
              {
                "title" : "Medications",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "87232-5",
                      "display" : "Medication administration.brief"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metformin 500 mg twice daily was started as the first-line treatment to help control blood glucose levels.<table class=\"hl7__hdr\"><thead><tr><th>Medication administrations</th><th>Dose/Frequency</th><th>SNOMED</th></tr></thead><tbody><tr><td>Metformin, oral tbl</td><td>500 mg, twice / day</td><td>765507008</td></tr><tr><td>Multivitamines</td><td>daily</td><td/></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"
                  }
                ]
              },
              {
                "title" : "Follow-up",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "18776-5",
                      "display" : "Plan of care note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Follow-up</th><th>Activity</th><th>SNOMED</th></tr></thead><tbody><tr><td>Endocrinology Clinic</td><td>Follow-up appointment in 2 weeks to assess response to treatment</td><td>306118006 Referral to endocrinology service (procedure)</td></tr><tr><td>Dietitian Consultation</td><td>Appointment in 1 month for further dietary planning</td><td>103699006 Referral to dietitian (procedure)</td></tr><tr><td>Routine Blood tests</td><td>Repeat HbA1c in 3 months</td><td>43396009 Hemoglobin A1c measurement (procedure)</td></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"
                  }
                ]
              },
              {
                "title" : "Diagnosis at Discharge",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11535-2",
                      "display" : "Hospital discharge diagnosis note"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Discharge Diagnoses</th><th>Codes</th></tr></thead><tbody><tr><td>Type 2 Diabetes Mellitus – Newly diagnosed.</td><td><ul><li>Type 2 diabetes mellitus E11 (ICD-10)</li><li>Diabetes mellitus type 2 (disorder) 44054006 (SNOMED)</li></ul></td></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"
                  }
                ]
              },
              {
                "title" : "Hospital Discharge Instructions",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8653-8",
                      "display" : "Hospital Discharge Instructions"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Instructions at Discharge to Mr. De Luca<ul><li>Continue home glucose monitoring and to maintain a log for review at follow-up appointments.</li><li>Continue with the prescribed medication and lifestyle changes.</li><li>Monitor blood sugar levels at home regularly.</li><li>Adhere to the diabetic diet plan.</li><li>Stay physically active, with at least 30 minutes of moderate exercise most days of the week.</li><li>Return to the emergency department for any signs of hyperglycemia (e.g., excessive thirst, urination, confusion) or hypoglycemia (e.g., sweating, shakiness, confusion).</li></ul></div>"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "b01a2623-e219-41d2-8e78-1fa1439751d0",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_b01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient b01a2623-e219-41d2-8e78-1fa1439751d0</b></p><a name=\"b01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><a name=\"hcb01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/8121c77e7bf9</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+3903348920354\">+39 0334 8920354</a></li><li>Via Zannoni 29 Serso 38057 Italy (home)</li></ul></td></tr></table></div>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "NI"
                    }
                  ]
                },
                "system" : "https://hl7europe.org/example-identifier",
                "value" : "3332-386800-1"
              },
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MR"
                    }
                  ]
                },
                "system" : "https://hl7europe.org/example-identifier",
                "value" : "8121c77e7bf9"
              }
            ],
            "name" : [
              {
                "text" : "Luigi De Luca",
                "family" : "De Luca",
                "given" : [
                  "Luigi"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+39 0334 8920354"
              }
            ],
            "gender" : "male",
            "birthDate" : "1966-09-30",
            "address" : [
              {
                "use" : "home",
                "type" : "physical",
                "line" : [
                  "Via Zannoni 29"
                ],
                "city" : "Serso",
                "postalCode" : "38057",
                "country" : "Italy"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "7c9a2bf1-507f-4d43-b06e-d78e9670379d",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 7c9a2bf1-507f-4d43-b06e-d78e9670379d</b></p><a name=\"7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><a name=\"hc7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-encounter-eu-hdr.html\">Encounter (HDR)</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 171183004}\">Diabetes mellitus screening (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>period</b>: 2025-04-01 08:45:00+0000 --&gt; 2025-04-10 11:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 714628002}\">Prediabetes (finding)</span></p><p><b>serviceProvider</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>"
            },
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "IMP"
            },
            "serviceType" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "171183004",
                  "display" : "Diabetes mellitus screening (procedure)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "period" : {
              "start" : "2025-04-01T08:45:00Z",
              "end" : "2025-04-10T11:00:00Z"
            },
            "reasonCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "714628002",
                    "display" : "Prediabetes (finding)"
                  }
                ]
              }
            ],
            "serviceProvider" : {
              "reference" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9",
          "resource" : {
            "resourceType" : "PractitionerRole",
            "id" : "74403dd8-bb1b-45f9-bb69-e843dfaf45e9",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 74403dd8-bb1b-45f9-bb69-e843dfaf45e9</b></p><a name=\"74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><a name=\"hc74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><p><b>practitioner</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\">Practitioner Augusto Zucchero-Combattente </a></p><p><b>organization</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>"
            },
            "practitioner" : {
              "reference" : "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"
            },
            "organization" : {
              "reference" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "0710d9e7-3f1a-4e16-a9b3-5c991fe23c95",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0710d9e7-3f1a-4e16-a9b3-5c991fe23c95</b></p><a name=\"0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><a name=\"hc0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><p><b>name</b>: Augusto Zucchero-Combattente </p><p><b>telecom</b>: <a href=\"mailto:augusto@casasgiuliana.osp.venetia.it\">augusto@casasgiuliana.osp.venetia.it</a></p></div>"
            },
            "name" : [
              {
                "family" : "Zucchero-Combattente",
                "given" : [
                  "Augusto"
                ],
                "prefix" : [
                  "dr"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "email",
                "value" : "augusto@casasgiuliana.osp.venetia.it"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "a61a91f8-b8f2-4947-9a64-5165ea380a38",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a61a91f8-b8f2-4947-9a64-5165ea380a38</b></p><a name=\"a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><a name=\"hca61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><p><b>name</b>: Casa di cura Villa S. Giuliana</p><p><b>address</b>: Verona 37128 it </p></div>"
            },
            "name" : "Casa di cura Villa S. Giuliana",
            "address" : [
              {
                "city" : "Verona",
                "postalCode" : "37128",
                "country" : "it"
              }
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          }
        },
        {
          "fullUrl" : "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "a5bf69e4-24db-48a8-9eda-71516dcaf1d9",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition a5bf69e4-24db-48a8-9eda-71516dcaf1d9</b></p><a name=\"a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><a name=\"hca5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-condition-eu-core.html\">Condition (EU core)</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11}, {http://snomed.info/sct 44054006}\">Type 2 diabetes mellitus</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>onset</b>: 2025-04-04</p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
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            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "E11",
                  "display" : "Type 2 diabetes mellitus"
                },
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "44054006",
                  "display" : "Diabetes mellitus type 2 (disorder)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "onsetDateTime" : "2025-04-04"
          }
        },
        {
          "fullUrl" : "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3",
          "resource" : {
            "resourceType" : "CarePlan",
            "id" : "b84038f8-9541-4c5b-93b0-a7f1b8e55bd3",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan b84038f8-9541-4c5b-93b0-a7f1b8e55bd3</b></p><a name=\"b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><a name=\"hcb84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-carePlan-eu-hdr.html\">Care Plan (HDR)</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 736284000}\">Diabetes clinical management plan</span></p><p><b>title</b>: Diabetes Management Plan</p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>period</b>: 2025-04-10 --&gt; (ongoing)</p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 306118006}\">Referral to endocrinology service</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 103699006}\">Referral to dietitian</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 43396009}\">Hemoglobin A1c measurement</span></td><td>Not Started</td></tr></table></blockquote></div>"
            },
            "status" : "active",
            "intent" : "plan",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "736284000",
                    "display" : "Diabetes clinical management plan"
                  }
                ]
              }
            ],
            "title" : "Diabetes Management Plan",
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "period" : {
              "start" : "2025-04-10"
            },
            "activity" : [
              {
                "detail" : {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "306118006",
                        "display" : "Referral to endocrinology service"
                      }
                    ]
                  },
                  "status" : "not-started"
                }
              },
              {
                "detail" : {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "103699006",
                        "display" : "Referral to dietitian"
                      }
                    ]
                  },
                  "status" : "not-started"
                }
              },
              {
                "detail" : {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "43396009",
                        "display" : "Hemoglobin A1c measurement"
                      }
                    ]
                  },
                  "status" : "not-started"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0</b></p><a name=\"92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><a name=\"hc92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 313204009}\">Lifestyle education (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>performed</b>: 2025-04-05</p></div>"
            },
            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "313204009",
                  "display" : "Lifestyle education (procedure)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "performedDateTime" : "2025-04-05"
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        },
        {
          "fullUrl" : "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "a74a3dca-92fa-4b71-8e70-89a07ac74bc3",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure a74a3dca-92fa-4b71-8e70-89a07ac74bc3</b></p><a name=\"a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><a name=\"hca74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6143009}\">Diabetic education (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>performed</b>: 2025-04-04</p></div>"
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            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "6143009",
                  "display" : "Diabetic education (procedure)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "performedDateTime" : "2025-04-04"
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        },
        {
          "fullUrl" : "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "53a8c3c3-5d1b-4950-87bc-fddae2ebc079",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 53a8c3c3-5d1b-4950-87bc-fddae2ebc079</b></p><a name=\"53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><a name=\"hc53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: In Progress</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1340186004}\">Metformin therapy (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>performed</b>: 2025-04-04</p></div>"
            },
            "status" : "in-progress",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1340186004",
                  "display" : "Metformin therapy (procedure)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "performedDateTime" : "2025-04-04"
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        },
        {
          "fullUrl" : "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085",
          "resource" : {
            "resourceType" : "FamilyMemberHistory",
            "id" : "635c22e7-d7f1-45ad-9b4d-d4fe35239085",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 635c22e7-d7f1-45ad-9b4d-d4fe35239085</b></p><a name=\"635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><a name=\"hc635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"
            },
            "status" : "completed",
            "patient" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "relationship" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                  "code" : "MTH",
                  "display" : "mother"
                }
              ]
            },
            "condition" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "430679000",
                      "display" : "Family history of diabetes mellitus type 2 (situation)"
                    }
                  ]
                }
              }
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          }
        },
        {
          "fullUrl" : "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a",
          "resource" : {
            "resourceType" : "FamilyMemberHistory",
            "id" : "3fbdfbe1-9d70-47ec-ac05-3e30b063365a",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 3fbdfbe1-9d70-47ec-ac05-3e30b063365a</b></p><a name=\"3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><a name=\"hc3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MGRMTH}\">maternal grandmother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"
            },
            "status" : "completed",
            "patient" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "relationship" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                  "code" : "MGRMTH",
                  "display" : "maternal grandmother"
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            "condition" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "430679000",
                      "display" : "Family history of diabetes mellitus type 2 (situation)"
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                }
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        {
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          "resource" : {
            "resourceType" : "Observation",
            "id" : "f0113857-b9b7-429b-8893-b645a38ae20a",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f0113857-b9b7-429b-8893-b645a38ae20a</b></p><a name=\"f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><a name=\"hcf0113857-b9b7-429b-8893-b645a38ae20a\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 109 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
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            ],
            "code" : {
              "coding" : [
                {
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                  "code" : "29463-7",
                  "display" : "Body weight"
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            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectiveDateTime" : "2025-04-01",
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              "value" : 109,
              "unit" : "kg",
              "system" : "http://unitsofmeasure.org",
              "code" : "kg"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "065c918f-730a-47f8-938a-7ad54618037b",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_065c918f-730a-47f8-938a-7ad54618037b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 065c918f-730a-47f8-938a-7ad54618037b</b></p><a name=\"065c918f-730a-47f8-938a-7ad54618037b\"> </a><a name=\"hc065c918f-730a-47f8-938a-7ad54618037b\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-19</p><p><b>value</b>: 108 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29463-7",
                  "display" : "Body weight"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectiveDateTime" : "2025-04-19",
            "valueQuantity" : {
              "value" : 108,
              "unit" : "kg",
              "system" : "http://unitsofmeasure.org",
              "code" : "kg"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "81783ae4-c36d-424f-8cea-fe7d3407a36b",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 81783ae4-c36d-424f-8cea-fe7d3407a36b</b></p><a name=\"81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><a name=\"hc81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Body height</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 177 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "8302-2",
                  "display" : "Body height"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectiveDateTime" : "2025-04-01",
            "valueQuantity" : {
              "value" : 177,
              "unit" : "cm",
              "system" : "http://unitsofmeasure.org",
              "code" : "cm"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "a19e48e1-2271-4cdb-9c76-b0626c7a5363",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a19e48e1-2271-4cdb-9c76-b0626c7a5363</b></p><a name=\"a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><a name=\"hca19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 155 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 95 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "85354-9",
                  "display" : "Blood pressure panel with all children optional"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectiveDateTime" : "2025-04-01",
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8480-6",
                      "display" : "Systolic blood pressure"
                    }
                  ]
                },
                "valueQuantity" : {
                  "value" : 155,
                  "unit" : "mmHg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mm[Hg]"
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8462-4",
                      "display" : "Diastolic blood pressure"
                    }
                  ]
                },
                "valueQuantity" : {
                  "value" : 95,
                  "unit" : "mmHg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mm[Hg]"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "fd7f7580-5788-45dd-88ec-dca615d69c7d",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fd7f7580-5788-45dd-88ec-dca615d69c7d</b></p><a name=\"fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><a name=\"hcfd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-10</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 150 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 90 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs",
                    "display" : "Vital Signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "85354-9",
                  "display" : "Blood pressure panel with all children optional"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectiveDateTime" : "2025-04-10",
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8480-6",
                      "display" : "Systolic blood pressure"
                    }
                  ]
                },
                "valueQuantity" : {
                  "value" : 150,
                  "unit" : "mmHg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mm[Hg]"
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8462-4",
                      "display" : "Diastolic blood pressure"
                    }
                  ]
                },
                "valueQuantity" : {
                  "value" : 90,
                  "unit" : "mmHg",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mm[Hg]"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6</b></p><a name=\"67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><a name=\"hc67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11367-0}\">History of Tobacco use</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 77176002}\">Current smoker</span></p><p><b>note</b>: </p><blockquote><div><p>Patient smokes a few cigarettes a day</p>\n</div></blockquote></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "social-history",
                    "display" : "Social History"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11367-0",
                  "display" : "History of Tobacco use"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectiveDateTime" : "2025-04-01",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "77176002",
                  "display" : "Current smoker"
                }
              ]
            },
            "note" : [
              {
                "text" : "Patient smokes a few cigarettes a day"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4",
          "resource" : {
            "resourceType" : "MedicationAdministration",
            "id" : "bda0b497-c9f2-47ca-8339-da1d379cb2f4",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration bda0b497-c9f2-47ca-8339-da1d379cb2f4</b></p><a name=\"bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><a name=\"hcbda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-medicationAdministration-eu-hdr.html\">MedicationAdministration (HDR)</a></p></div><p><b>status</b>: In Progress</p><p><b>medication</b>: <span title=\"Codes:{http://snomed.info/sct 765507008}\">Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-03 --&gt; (ongoing)</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>500 mg, twice a day</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></td><td>500 mg</td></tr></table></div>"
            },
            "status" : "in-progress",
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "765507008",
                  "display" : "Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
            },
            "effectivePeriod" : {
              "start" : "2025-04-03"
            },
            "dosage" : {
              "text" : "500 mg, twice a day",
              "route" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "26643006",
                    "display" : "Oral route"
                  }
                ]
              },
              "dose" : {
                "value" : 500,
                "unit" : "mg"
              }
            }
          }
        }
      ]
    }